Status:

UNKNOWN

Evaluation of the Brain Activity During Spinal Cord Stimulation in Failed Back Surgery Syndrome Using Functional MRI and MRS

Lead Sponsor:

Universitair Ziekenhuis Brussel

Collaborating Sponsors:

Maarten Moens

Conditions:

Failed Back Surgery Syndrome

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Functional Magnetic Resonance Imaging (fMRI)and MR Spectroscopy of the brain are perfect tools to investigate the changes in the brainstem and brain evoked by the orthodromically impulses of a SCS.

Detailed Description

In case a patient meets all inclusion and no exclusion criteria, he/she will be implanted with an epidural neurostimulation lead (electrode). The day of implant will be recorded as day 0 (table 1) an...

Eligibility Criteria

Inclusion

  • Age male/female patient ≥ 18 years
  • Patient diagnosed with Failed Back Surgery Syndrome with at least one prior spinal surgery
  • Patient with low back pain and/or pain in at least one leg
  • Pain intensity at baseline assessed by VAS \> 5 (50%)
  • Patient willing to provide informed consent.

Exclusion

  • Use of spinal cord stimulation in this patient in the past.
  • Presence of other clinically significant or disabling chronic pain condition
  • Expected inability of patients to receive or properly operate the spinal cord stimulation system
  • History of coagulation disorders, lupus erythematosus, diabetic neuropathy, rheumatoid arthritis or morbus Bechterew
  • Active malignancy
  • Current use of medication affecting coagulation which cannot be temporarily stopped
  • Evidence of an active disruptive psychiatric disorder or other known condition significant enough to impact perception of pain, compliance to intervention and/or ability to evaluate treatment outcome as determined by investigator
  • Life expectancy of less than 1 year
  • Existing or planned pregnancy
  • Existing extreme fear for entering MRI

Key Trial Info

Start Date :

September 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2011

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT01181817

Start Date

September 1 2008

End Date

September 1 2011

Last Update

August 18 2010

Active Locations (1)

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UZ Brussel

Brussels, Brussels Capital, Belgium, 1090